Terrell County Commissioner of Roads & Revenues

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

Legal business name

TERRELL COUNTY COMMISSIONER OF ROADS & REVENUES

Doing business as

Terrell County EMS

Practice address

638 Forrester Drive
Dawson, GA 39842-2009

Phone

(229) 995-4008

Fax

(229) 995-4869

NPI assigned

Dec 27, 2006

Last updated

Apr 23, 2021By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Gail Rakel

Title

Office Manager

Phone

(229) 995-4008

Specialties & licenses 3

Addresses

Other identifiers 1

Other names 1

• Terrell County EMS Doing business as

Medicare fee-for-service enrollment

Enrolled in GA

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Tax ID family

Terrell Co Commissioners2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Terrell Co EMS

  • Emergency Care Clinic/Center
  • Dawson, GA
  • NPI 1306831615
  NPD tax ID

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1167177600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1619136000000",
    "number": "1689739765",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "638 FORRESTER DRIVE",
            "city": "DAWSON",
            "state": "GA",
            "postal_code": "398422009",
            "telephone_number": "229-995-4008",
            "fax_number": "229-995-4869"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "638 FORRESTER DRIVE",
            "city": "DAWSON",
            "state": "GA",
            "postal_code": "398422009",
            "telephone_number": "229-995-4008",
            "fax_number": "229-995-4869"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TERRELL COUNTY COMMISSIONER OF ROADS & REVENUES",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-27",
        "last_updated": "2021-04-23",
        "certification_date": "2021-04-23",
        "status": "A",
        "authorized_official_last_name": "RAKEL",
        "authorized_official_first_name": "GAIL",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "229-995-4008"
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": "GA",
            "license": "135-01",
            "primary": false
        },
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "146L00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medical Technician, Paramedic",
            "state": "GA",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000003055A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Terrell County EMS",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Terrell County EMS",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Softline Home Support
• Hannah Speaks
• Terrell Co EMS
• Terrell County Board of Education
• Terrell County Board of Health
• Terrell Lee (Now)
• Terrell Lee Day (Comp)
• Terrell Lee Supportive Employment (Comp)
• Terrell Lee Supportive Employment (Now)
• Cornelius Antwaun Thomas

• Land Ambulance in Dawson, GA
• Providers in Dawson, GA by specialty
• Land Ambulance in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.